Unlisted laparoscopic reduction intestine 44238 at CHRISTUS Spohn Hospital - Kleberg
1311 General East Cavazos Blvd, Kingsville, TX · Christushealth · · NPI 1093783391
not published by hospital
Cash price Discounted cash price What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge. Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.
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What you pay up front if you don't use insurance.
not published by hospital
Gross charge Gross charge (chargemaster price) The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this. Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.
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The hospital's undiscounted list price — almost no one pays this.
$274.41 with United Healthcare vs $11,809.60 with Naphcare Inc. — same scan, same building. Share
Negotiated rates by payer
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →Payer ?Payer The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on. Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509. Full explanation → |
Plan ?Plan The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates. Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible. Full explanation → |
Negotiated rate | vs. cash |
|---|---|---|---|
| United Healthcare | Star Kids KM | $274.41 | — |
| United Healthcare | Chip KM | $274.41 | — |
| United Healthcare | Star Plus KM | $274.41 | — |
| United Healthcare | Star KM | $274.41 | — |
| Cigna | New Business | $2,380.00 | — |
| Cigna | PPO | $2,911.00 | — |
| Five Point Credit Union | PPO | $4,020.00 | — |
| Blue Cross Blue Shield of Texas | HMO | $4,108.65 | — |
| Healthcare Highways | PPO | $5,121.00 | — |
| Christus Health | HIX | $5,187.24 | — |
| Blue Cross Blue Shield of Texas | Blue Advantage HMO | $5,317.08 | — |
| Blue Cross Blue Shield of Texas | HEB | $5,365.42 | — |
| Blue Cross Blue Shield of Texas | PPO | $5,655.44 | — |
| Superior | Star Plus MM | $5,904.80 | — |
| Humana | Gold Choice MM | $5,904.80 | — |
| Humana | Gold Plus MM | $5,904.80 | — |
| Humana | BH MM | $5,904.80 | — |
| Wellcare | MM | $5,904.80 | — |
| United Healthcare | MM | $5,904.80 | — |
| Texas Healthspring | MM | $5,904.80 | — |
| Aetna | MM | $5,904.80 | — |
| Coventry | First Health MM | $5,904.80 | — |
| Blue Cross Blue Shield of Texas | MM | $5,904.80 | — |
| Molina | Medicare Adv MM | $5,904.80 | — |
| Triwest | VA MM | $5,904.80 | — |
| Christus Health | Med Adv MM | $5,904.80 | — |
| Allwell | Superior Health MM | $5,904.80 | — |
| Provider Partners Health Plan | MM | $6,081.94 | — |
| Shared Health Insurance Company | MM | $6,200.04 | — |
| US Imaging Network | PPO | $6,318.14 | — |
| Devoted Health Plan | MM | $6,377.18 | — |
| Amerigroup | MM | $6,377.18 | — |
| Imperial Health Plan | MM | $6,495.28 | — |
| ProCare Advantage | MM | $6,495.28 | — |
| American Health Medicare | AdvantageMM | $6,495.28 | — |
| Humana | Choicecare | $6,894.00 | — |
| Blue Cross Blue Shield of Texas | Traditional | $8,265.64 | — |
| United Healthcare | HIX | $9,234.00 | — |
| Aetna | New Business | $9,584.00 | — |
| United Healthcare | All Payer | $9,595.00 | — |
| Aetna | HMO | $10,649.00 | — |
| Aetna | PPO | $10,649.00 | — |
| Aetna | POS | $10,649.00 | — |
| Naphcare Inc. | RRMB | $11,809.60 | — |
| Superior | Star Plus KM | not published by hospital | — |
| Superior | Chip KM | not published by hospital | — |
| Phcs | PPO | not published by hospital | — |
| Texas Childrens Health Plan | Chip KM | not published by hospital | — |
| Texas Childrens Health Plan | Star Plus KM | not published by hospital | — |
| Beech Street | PPO | not published by hospital | — |
| Blue Cross Blue Shield Of Texas | Star Chip KM | not published by hospital | — |
| HealthSmart | PPO | not published by hospital | — |
| Multiplan | PPO | not published by hospital | — |
| Molina | Star KM | not published by hospital | — |
| Molina | Star Plus KM | not published by hospital | — |
| Molina | Chip KM | not published by hospital | — |
| First Health | PPO | not published by hospital | — |
| Healthsmart | Accel PPO | not published by hospital | — |
| Provider Select | PPO | not published by hospital | — |
| Driscoll Children's Health Plan | Chip KM | not published by hospital | — |
| Driscoll Children's Health Plan | Star KM | not published by hospital | — |
| Superior | Star Kids KM | not published by hospital | — |
| Driscoll Children's Health Plan | Star Kids KM | not published by hospital | — |
| Health Management Network | PPO | not published by hospital | — |
| Superior | Star KM | not published by hospital | — |
| Superior | Foster Care KM | not published by hospital | — |
Visitor-reported prices
Comments
Unlisted laparoscopic reduction intestine 44238 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $3,795.52 | $71.00 – $14,293.73 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $4,981.62 | $71.00 – $14,293.73 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $3,795.52 | $85.00 – $14,293.73 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $3,795.52 | $3,162.93 – $14,293.73 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $4,981.62 | $71.00 – $14,293.73 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER HILLCREST | Waco | $3,795.52 | $71.00 – $14,293.73 |
| BAYLOR SCOTT & WHITE MCLANE CHILDREN'S MEDICAL CENTER | Temple | $3,795.52 | $71.00 – $14,293.73 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - PFLUGERVILLE | Suite 100 | $4,981.62 | $71.00 – $14,293.73 |